Individual
LISA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OT
Contact information
Practice address
3090 N 53RD ST, MILWAUKEE, WI 53210-1617
(414) 449-4444
(414) 449-4448
Mailing address
1016 MILWAUKEE AVE, SOUTH MILWAUKEE, WI 53172-2006
(414) 571-5566
(414) 571-5568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5126-26
WI
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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